First Time Applicants

If you are a new participant at Just in Time you are required to fill out the application below.

After you submit your application a Youth Services Coordinator will be in contact with you within two business days.

Contact Information

Where is your current residence or past residence?

Baseline Information

1. Are you a former foster youth?

 

Give a detailed description on why you are applying to JIT services:

2. How many total years combined were you in foster care?

3. How many placements did you experience while you were in foster care?

4. How did you hear about JIT?

5. Date of Birth (Example: 01/11/92):

6. Gender:

7. Ethnicity (please check one):

8. How many children do you have?

9. What is your source of healthcare care at this time? Check all that apply. (Ctrl+Click to select more than one)

Do you have “Covered till 26?”:

10. What agencies have you received assistance from since leaving foster care? Check all that apply.

11. What agency assistance are you receiving now? Check all that apply.

Housing/School Information

1. What is your current housing situation?

2. How far are you along in school? Select your highest level of education:

3. Are you currently enrolled in school?

4. If you are not enrolled in school, what is the reason you are
not enrolled in school this semester/quarter? Check all that apply.

5. What type of school program are you currently attending?

6. What is the name of your school?

7. Student Status

8. What is your declared major/trade?

9. What year do you expect to graduate college/trade school/ 2-year certificate?

10. What is your cumulative grade point average?

Employment/Financial Information

1. What is your current employment status?

2. If unemployed, what is the reason you are not employed at this time? Check all that apply.

3. How many hours do you work per week?

4. What is the name of your employer?

5. What is your hourly wage?

6. What is your current Financial Status?

Connections and Giving Back

1. Description of a caring adult (25+ years): Someone who listens to you when you need to talk, gives you good advice about a crisis, gives you information to help you understand a situation, believes in you and your dreams. Please select the following as it applies to you:

Please indicate your relation to this caring adult:

2. What is your level of community service?

3. Please indicate your perceived level of self-sufficiency. Where do you believe you are right now in your life?

4. Overall, how satisfied are you with your life?

Communications Agreement

1. To effectively help our youth, Just In Time must communicate with all current/former case managers, social workers, college officials, employers, rental companies, volunteers and any other programs related to a former foster youth’s request for assistance. In addition, agencies providing service at the Youth & Family Transition Center may share confidential information and records of individuals requesting service for the purpose of assisting those individuals with their transition to independence.


Please check to indicate you agree to allow Just in Time to obtain any and all information related to your application for services.

2. I release JIT to communicate with the following past/present case managers, advisors, coaches, etc. (Please provide at least one, include phone number and e-mail)

3. What is the primary way you keep up with JIT news and events?

4. May we use your comments for JIT promotions?

A Youth Services Coordinator will be in contact with you within two business days. Thank you!